Transverse muura: kwayo marongerwo uye mhando zvirwere

The muura zvinoreva nhengo dzose zvomudumbu turakiti. GI ichi ane widest pakakoromoka. The guru ura rinoitwa chetsoka inotungamirwa Absorção de Água of anwa zvokudya residues. muviri rino rakakamurwa 5 anatomical zvikamu. Mumwe wavo ari transverse muura. Chinhu hofisi nechepakati. Sezvaiitwa dzimwe muura, pathological pezvakaitwa angatanga mariri. Treatment muviri muzvirongwa chiremba-gastroenterologist uye chiremba.

The anatomical nemamiriro transverse muura

Front transverse muura riri pakati East nekuburuka zvikamu. Parinopfuura kubva chiropa kusvika splenic flexure. Transverse nokupesana riri mune loop. Zvinogona kuva pamusoro kana pasi achiine rukuvhute mhete. Mune zvimwe zviitiko, transverse muura inosvika chiuno. Pakureba kwayo anonzi wakarebesa (anenge 50 cm).

Inside dhipatimendi ichi akapa mucosa. Lines ari transverse muura cylindrical chete-layered epithelium. Record mucosa chinosanganisira fibrous connective tishu. Mariri exocrine omumuviri uye clumps masero lymphoid. Muna submucosal layer pane ropa uye node midziyo, uye utano hwake. The tsandanyama bhachi chinomiririrwa wakatsetseka tsandanyama. Kwemakore transverse muura ane 3 sphincter. Origin - iri proximal chikamu, wechipiri - pakati chikamu, wechitatu - the splenic flexure.

Mesentery of transverse muura iri seri parusvingo mudumbu. It ane ropa uye node midziyo. The transverse muura rinosanganisira peritoneum kumativi ose. Naizvozvo, ndezvenguva intraperitoneal anatomic hurongwa.

The transverse muura mumuviri

Transverse weboka guru ura ndiye evaMedhia. It anoita zvinotevera mabasa:

1. Development of chakavanzika inodiwa kuti paumbwe okupedzisira zvigadzirwa - uyezve nendove. Exocrine mumasero zvinobatanidzwa munyaya Kuparara cellulose.
2. kugutsikana Kukwidziridzwa intestinal lumen. It kunze nemhaka chaidzo matepi - haustrum uye sphincters.
3. Urume Absorção de Água kubva chyme, mafuta-soluble mavhitaminzi, shuga uye amino acids.

Transverse muura kunokosha sezvo zvose mitambo izvi zvinokosha nokuti zvomudumbu muitiro. Mune lumen wedhipatimendi ine zvakawanda mabhakitiriya anoumba kwomuzvarirwo kasvisto. Ivo vanofanira kuchengeta asidhi-alkaline mwero. Mukuwedzera, kuipa microflora kuridza innaktivatsii pathogenic utachiona.

Transverse muura: kwakaita nzvimbo yacho

Above muchinjikwa Department muura zvomudumbu nhengo dziri. Pakati pavo - chiropa, nduru dundira, chirwatata. Front transverse muura yakabatana Anterior abdominal rusvingo. Saka, zvakanaka nyore palpation. Rezasi pamucheto muviri yakabatana zvishwe yacho ura duku. Zvayaiva shure rwatata, akasiya itsvo uye duodenum. Izvi anatomical hurongwa vanoparadzaniswa kubva transverse muura Via mezakolona - mesentery. Rinopa ropa rive uye nhengo dzinobudisa abudise kuti wedhipatimendi ichi.

Pakati transverse muura uye mukuru curvature mudumbu ndiro shwanu. Anoumba masumbu. Nhengo Perfusion vakatakura mapazi pevane akaderera mesenteric tsinga.

Zvinokonzera pathologies of transverse muura

The kukundwa pamuchinjikwa-dhipatimendi muura anogona kuitika nokuda kwezvikonzero zvakasiyana-siyana. Mune zvimwe zviitiko hosha vari achiumbwa muduku kana ari utero. Izvi imhaka kuti mugari Tab fetus munyama. Zvinotevera izvi zvinofanira kusanganisira zvimwe zvinokonzera pathologies:

1. Zvokuimba kuzotadzira intestinal mucosa.
2. Chirwere uye nemavhairasi kuparadzwa.
3. Functional zvinetso zvinokonzerwa chetsinga zvirwere.
4. Chemical ekisiposha.
5. The panowanikwa namamota vari lumen pamusoro transverse muura.
6. Chenjera uye chisingaperi murombo kuparadzirwa munzvimbo mesenteric midziyo.
7. Chirwere dzinoparadza kwendangariro.

All izvi zvinoita kuti pakanga pakaputsika kushanda transverse muura. Zvinoguma zvomudumbu chirwere. mamiriro All kurapwa zvinoda kurapwa. Zvechokwadi, pasina kuzara kuchimuka mutsvina yadzo uye muviri wose kudhaka.

Zvirwere vemuchinjikwa imwe muura

Kana uchinzwa kurwadziwa mudumbu vanofanira kuteerera kana transverse muura kukanganiswa. Zviratidzo kukuvara angava akasiyana. Clinical kuratidzwa kuvimba pathological muitiro, iyo kwakasimbiswa murwere. Ziva zvinotevera mapoka transverse zvirwere muura:

1. Chirwere non-chaicho kuzvimba. Izvi zvinosanganisira maronda colitis, zvichiita kuti kuparadzwa muura rusvingo.
2. Chaiwo anogumbura zvirwere. Muenzaniso chirwere Crohn raMwari. Kuparadzwa anogona pasi rose zvomudumbu turakiti, asi mupasi nzvimbo kukuvara ari lumen pamusoro ura diki uye muura.
3. Chenjera anogumbura zvirwere - colitis. Kudziridza nokuda nemavhairasi uye kwemabhakitiriya rwarisa maronda.
4. Neoplastic zvirwere transverse muura. Rakakamurwa benign pezvakaitwa uye kenza.
5. abdominal kunotevera, zvichiita kuti ukanganise kumuviri rusvingo.
6. Dzichipfekeka zvirwere.
7. transverse muura mhingaidzo pamusoro mutsvina yadzo, kuunganidza tupukanana, bundu rikurumidze.
8. Kutyora mesenteric kuparadzirwa nokuda thrombosis, embolism.

In muduku padzakacherechedza vachiberekwa bowel chirwere. Izvi zvinosanganisira chirwere Hirschsprung vake, cystic fibrosis, megacolon.

Zviratidzo pathologies transverse muura ura

Zviratidzo chirwere transverse muura dzinosanganisira: marwadzo, havachanyatsogoni chetsoka kusachinja-chinja uye defecation, zviratidzo kudhaka. Kusagadzikana mune umbilicus kana zvishoma pazasi kwayo mwero inogona kuchengetwa kuti chero pathological ezvinhu. Kana chirwere kunokonzerwa hweHIV intestinal noutachiona, zvichava ritaurwe. madzihwa uye ropa - In iyi Pane kakawanda unzenza zvituru, izvo ingasanganisira siyana marara ndiyo. Mune dzimwe kutapuriranwa pezvakaitwa Cal anowana ari maitiro ruvara uye dzinoita (muchimiro "Marsh nebhitumini", "datya mazai", "mupunga mvura"). Manyoka kunoratidzwa kwazvo kurwadza kwacho vari kuruboshwe mudumbu uye venhema nezvido achiita defecation.

In chisingaperi anogumbura ezvinhu nguva nenguva kuchengetwa abdominal kusanzwa, manyoka, rakatumbuka cheya kunonoka. Kuvadza rusvingo intestinal zvichiguma nokuumbwa ropa maronda.

Vascular zvinetso, chetsoka kurega kunotanga uye vachiberekwa abnormalities kutungamirira kukudziri- intestinal mhingaidzo. chirwere ichi zvinoreva chakasimba zvomusejari ezvinhu. Pasinei chikonzero, izvo zvakazoita kuti mhingaidzo, rubatsiro runodiwa pakarepo.

Benign mapundu ari ura

A benign bundu iri transverse muura anogona kuva chero zvinyama iri muviri rusvingo. The akasiyana boka iri zvirwere zvinosanganisira: polyp, myoma, fibroma, hemangioma. Benign mapundu vanoonekwa ne chokwadi kuti kurai lumen muviri pasina kurova rusvingo ukobvu. Common mhando bundu kunoonekwa sechinhu polyp transverse muura. Chinhu chiduku kuvaka-kumusoro, yaimboshandiswa mumuviri mhango. Nokuti muduku polyp inotungamirwa haagoni kuratidzwa. Zvisinei, zvinofanira kubviswa. Nokuda kuramba kwemutemo mutsvina yadzo ura benign bundu wakaremara, anogona kumbotambudzika ropa kana chirwere. Pane matunhu panjodzi kuti polyp "zvinokura" iri oncological muitiro.

Nyanyisa mapundu of transverse muura Division

Kenza transverse muura inobata vanhu vakwegura, asi kunogonawo munguva varwere vaduku. Kakawanda richiwanika pamusoro mamiriro echirwere anogumbura pathologies, polyposis. Nokuti kenza zviratidzo zvinosanganisira marwadzo, havachanyatsogoni chetsoka, pamwe yakawanda bundu - ileus. In Muzviitiko zvakaipisisa, varwere vanogona kudya, pane kuwedzera inguinal node nodes, fivha, uremu uye kushaya simba.

Transverse muura: mabatiro pathologies

Treatment zvirwere zviri transverse muura angava kuchinja uye operative. Muchiitiko chokutanga aishandisa zvinodhaka antibacterial ( "Ciprofloxacin" zvinodhaka, "azithromycin"), Anti-anogumbura nevamiririri. Manyoka kunoratidza kuti rehydration mishonga. Liquid raitongwa munzira dzakasiyana-siyana. Kana murwere ezvinhu ari dzinogutsa, ndipe alkaline chicherwa mvura, mhinduro kuti "Regidron". In Muzviitiko zvakaipisisa, nemvura akasuma kupinda tsinga. Manyoka mishonga ushandiswe "Smecta", "Hilak forte", izvo zvinokonzera normalization yacho bowel.

Kana oparesheni inoparadza uye oncological zvirwere. It iri resection pamusoro transverse muura, uye crosslinking wakasununguka miromo. Mushure vavhiyiwa, unofanira kutevera zvokudya, nokuti kuzoita mashandiro muviri zvichiitika pakarepo.